Tech Lead
Ihl · Chennai · India · On-site
Pay: INR 2,000,000 – 3,500,000 a year
Posted Sep 4, 2026
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Key Responsibilities
Own the engineering of the whole platform — the Python and FastAPI backend, the React web application, the mobile application, the Artificial Intelligence (AI) plug-ins and the cloud they run on — and be the single person accountable for whether it ships
Lead through senior engineers who each own a group of modules, with the quality, cloud and mobile engineers shared across both, so no module has one person who cannot go on leave
Split the work by what a hospital does rather than by technology: one team on the clinical side — records, orders, laboratory, radiology, pharmacy — and one on everything a hospital runs on — reception, billing, insurance, canteen, administration
Set the technical direction and record it as decisions a new engineer can still read a year later, including the ones that were wrong and why they were changed
Stay hands-on: review every change that touches a clinical record, a price, a ledger or a claim, and write the parts nobody else should be left alone with — tenancy, the billing engine, the synchronisation layer
Be accountable for the pilot hospital going live, and for the fact that a ward at two in the morning is not a place where software gets a second chance
Delivery You Can Commit To
Sequence the work so two teams run in parallel without waiting on each other, and say in the week it becomes likely — not in the week it becomes certain — that a date will move
Hold estimates that hold: break work down until the team can commit to it, and treat an estimate that keeps slipping as a specification problem rather than an effort problem
Own the release path end to end — trunk-based development, migrations only through version control, a deploy anybody on the team can run, and a rollback that has actually been tested
Own what happens when it breaks at three in the morning: who is called, what they can see, and how the hospital is told before it telephones us
Keep the weekly picture honest — what shipped, what slipped, what is at risk and what you need from the business — in a pack somebody outside engineering can read
Correctness, Because This Is a Hospital
Hold the line on the paths where being wrong is not a bug but a harm: allergy and interaction checks, dose limits by age and weight, critical results that must reach a human, and money that must reconcile to the rupee
Make every write auditable and attributable — who did it, when, and what it replaced; corrections by reversal, never by silent overwrite
Build multi-tenancy in from the first table: one platform, many hospitals, and no path by which one can see another's data
Own the security posture — access control, audit, encryption, secrets, and a third-party Vulnerability Assessment and Penetration Test the platform passes before go-live rather than after
Own the standards work that cannot be compressed at the end: Fast Healthcare Interoperability Resources (FHIR) R4, Health Level Seven (HL7) version 2 from analysers, Digital Imaging…